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1 – 10 of 739Maha Aon, Anne Katrine Graudal Levinsen, Taoufiq Abtal, Mouna Regragui, Che Henry Ngwa, Dominique Berhan Leth-Sørensen, Mohamed Bouharras, Majda Azzouzi, Adil Benjelloun, Nisrine Riffai and Marie Brasholt
High rates of suicide and self-harm are reported in prisons in Western countries, while fewer studies exist from a non-Western context. This study aims to identify rates of…
Abstract
Purpose
High rates of suicide and self-harm are reported in prisons in Western countries, while fewer studies exist from a non-Western context. This study aims to identify rates of suicide, non-fatal suicide attempts and self-harm in Moroccan prisons and to better understand the context, methods, tools, predictors and profile of persons engaged in the acts.
Design/methodology/approach
The authors report findings from a mixed-methods study carried out before an intervention project. The study consists of a systematic literature review, an analysis of suicide case files, a quantitative survey on suicide attempts and self-harm, as well as interviews and focus group discussions. The authors calculate suicide, suicide attempt and self-harm rates and present descriptive data on the incidents. The authors use regression models to explore the association between the number of incidents per individual and selected predictors, adjusting for clustering by institution.
Findings
Over a four-year period, 29 detained persons in Morocco died by suicide (average annual suicide rate 8.7 per 100,000). Most were men under the age of 30. Hanging accounted for all but one case. In one year, 230 suicide attempts were reported. Over a three-months period, 110 self-harm cases were reported from 18 institutions, cutting being the most common method. Self-harm was significantly more prevalent among persons with a life sentence or repeated incarcerations.
Research limitations/implications
To make the study manageable as part of an intervention project, the authors collected data on suicides and suicide attempts from all prisons, while data on self-harm were collected from fewer prisons and over a shorter time period. The authors did not collect comparable information from detained persons who did not die by suicide, attempt suicide or self-harm. This prevented comparative analyses. Further, it is possible that self-harm cases were not reported if they did not result in serious physical injury. Data were collected by prison staff; thus, the voice of incarcerated persons is absent.
Practical implications
This study provided a solid basis for designing an intervention project including the development of a national prison policy and guidelines on suicides, suicide attempts and self-harm and a country-wide training program for prison staff. It also led to a better surveillance system, allowing for trend analysis and better-informed policymaking. The qualitative results helped create an understanding of how staff may trivialize self-harm. This was integrated into the training package for staff, resulting in the creation of prison staff trainers who became the strongest advocates against the notion that self-harm was best ignored.
Originality/value
To the best of the authors’ knowledge, this is the first published data on suicide and self-harm in Moroccan prisons. It underscores the necessity for the intervention project and gives valuable insights into suicide and self-harm in a non-Western prison context. Further research is needed to assess whether the findings are typical of the region.
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Joana Andrade, Hugo Gomes, Rui Gonçalves and Andreia Castro-Rodrigues
Remand prisoners (RPs) are known to be in a more vulnerable situation than those already convicted. Beyond the difficulties to adapt to the prison, RP also tend to experience…
Abstract
Purpose
Remand prisoners (RPs) are known to be in a more vulnerable situation than those already convicted. Beyond the difficulties to adapt to the prison, RP also tend to experience tough circumstances due to the uncertainty of their future. This study aims to further test the psychometric properties of the Suicide Concerns for Offenders in the Prison Environment (SCOPE-2) in a sample of RP.
Design/methodology/approach
The authors have carried out a confirmatory factor analysis to test the psychometric qualities of the SCOPE-2. The authors tested the originally proposed two-factor structure composed of two subscales: optimism and protective self-worth. Also, the authors examined internal consistency through Cronbach’s alphas. Convergent validity was tested by correlational analyses between SCOPE-2 subscales and the Suicide Behaviors Questionnaire-Revised and Brief Symptom Inventory (BSI) total scores. Finally, the authors have tested known-groups validity by carrying out discriminant analysis by testing the SCOPE-2 subscales’ ability to predict belonging to a group with previous suicide attempts.
Findings
The confirmatory factor analysis showed an acceptable model fit, even though the subscale “Protective self-worth” presented a less acceptable fit. The correlation analysis supported the convergent validity of the SCOPE-2. Both the “Optimism” and “Protective self-worth” subscales showed a positive correlation with the total scores of BSI. Finally, the Portuguese version of SCOPE-2 also showed known groups validity. Concretely, the “Optimism” scores revealed an acceptable predictive accuracy.
Practical implications
This study embraces important contributions to the practice as it was the first study to validate a measure to assess vulnerability for suicide and self-harm in male and female RP.
Originality/value
To the best of the authors’ knowledge, this was the first study to validate an instrument to assess vulnerability for suicide and self-harm in both male and female pretrial detainees. Knowing their particular case, as well as the lack of responses for these individuals, it is particularly important to access suicide concerns that could precede suicide attempts.
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Elizabeth A. Jach and Anthony P. Rinaldi
The purpose of this paper is to highlight suicide risk factors experienced by graduate students and postdoctoral scholars, and then outline suicide prevention strategies for these…
Abstract
Purpose
The purpose of this paper is to highlight suicide risk factors experienced by graduate students and postdoctoral scholars, and then outline suicide prevention strategies for these populations.
Design/methodology/approach
Through analysis of literature and application of theory, the authors use the diathesis-stress model and Joiner’s (2005) interpersonal theory of suicidality to outline suicide prevention strategies specific to graduate students and postdoctoral scholars.
Findings
The authors’ review of the literature and application of theory suggest that both individuals and groups can engage in suicide prevention strategies, specifically pertaining to reducing stressors unique to graduate students and postdoctoral scholars, as well as addressing feelings of thwarted belongingness and perceived burdensomeness that can lead to the development of suicidality within these populations.
Practical implications
Engaging in suicide prevention strategies can save lives and address the mental health conditions exhibited among graduate student and postdoctoral scholars.
Originality/value
The authors offer a synthesis of good practices addressing suicide risk factors and prevention with attention to the stress-diathesis model and Joiner’s (2005) interpersonal theory of suicidality toward reducing suicidality among graduate students and postdoctoral scholars.
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The purpose of this paper is to discuss the response of the relevant authorities to evidence that female primary schoolteachers have an elevated suicide risk in the UK. The paper…
Abstract
Purpose
The purpose of this paper is to discuss the response of the relevant authorities to evidence that female primary schoolteachers have an elevated suicide risk in the UK. The paper situates the recent tragic death of a primary school head teacher, following an Ofsted inspection at her school, within the wider context of teacher suicide deaths and asks what, if any, action the authorities have taken to prevent avoidable suicide deaths from occurring.
Design/methodology/approach
The paper examines a recent case of suicide by a primary head teacher within the wider context of statistical data on suicides by primary schoolteachers and in relation to previous cases of suicide linked to a school inspection.
Findings
The paper suggests that the relevant authorities have failed to act in relation to evidence of high suicide risk amongst female primary schoolteachers and to previous suicide deaths linked to the impact of a school inspection. Without learning from suicide deaths and acting on available evidence, there is a risk that preventable suicide deaths will continue to occur.
Originality/value
The paper draws together case study evidence and statistical data to make the case for regulatory reform to ensure that work-related suicides are investigated, monitored and prevented.
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The purpose of this study is to examine why an attempt at suicide does not always indicate the beginning of a life with poor mental health.
Abstract
Purpose
The purpose of this study is to examine why an attempt at suicide does not always indicate the beginning of a life with poor mental health.
Design/methodology/approach
Case studies, supplemented by follow-up studies of attempted suicides.
Findings
One of the strongest predictors of a healthy life after the suicide attempt was found to be improvement in the appropriateness of behavior toward others and improved adult functioning.
Originality/value
The results suggest that behavioral coaching, in addition to traditional psychiatric treatment, could help attempted suicides move on with their lives productively.
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Rebekah A. Freese, Kelli E. Canada, Pagena M. Nichols and Brianna McNamara
Suicide prevention and intervention in prisons is a challenge. Prisons were not designed to be clinical facilities, yet with the growing numbers of people who face mental health…
Abstract
Purpose
Suicide prevention and intervention in prisons is a challenge. Prisons were not designed to be clinical facilities, yet with the growing numbers of people who face mental health challenges in prisons, staff require knowledge and skills to adequately address mental health crises, especially suicide. This study aims to: describe trends in suicide attempts and completions within one state’s prison system and measure staff knowledge and preparedness to address suicide.
Design/methodology/approach
This research uses a nonexperimental research design and two data sources. Administrative data from 2000 to 2017 on serious suicide attempts and completions were analyzed, and all correctional staff employed in the state’s Department of Corrections were surveyed at one point in time. Univariate and bivariate analyses were conducted.
Findings
The number of serious suicide attempts trended up but completed suicides decreased. Correctional staff demonstrated high suicide knowledge of risk factors and warning signs of suicide. Staff who viewed a media-based suicide training displayed significantly more knowledge of suicide and perceived greater preparedness compared to staff who did not or did not recall viewing the training.
Originality/value
Corrections staff play a key role in preventing suicides in prison. Innovative intervention is needed to increase suicide awareness, improve communication and enhance prevention skills.
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Jakub Harman and Eva Rievajová
The purpose of this paper is to explore the relationship between suicide rates broken down by gender and socio-economic factors in the Slovak Republic.
Abstract
Purpose
The purpose of this paper is to explore the relationship between suicide rates broken down by gender and socio-economic factors in the Slovak Republic.
Design/methodology/approach
This paper uses panel data of 79 counties of the Slovak Republic for the period 1997–2019. Methodology used includes fixed effects regression and sensitivity analysis. Also, regressions with lagged variables are used.
Findings
The results show that per capita income and unemployment rate are associated with increased risk of suicide rates for both genders. Economic growth is negatively correlated and significant only for women. Women’s participation in the labor market does not have a significant impact. Social factors, such as divorce and fertility rate, have a significant effect on men but insignificant on women. Strong faith is associated with increasing men’s suicide rates. Sensitivity analysis confirmed the results. This paper also examined the possibility of cumulation of the effects by using lagged variables. Unemployment rate has a significant effect only in the simultaneous year and for men only. Per capita income and economic growth have insignificant impact for both the genders. Divorce rate has a significant positive relationship for men, if measured in the previous year. The fertility rate is negatively correlated with the suicide rate of women up to two years after the birth. Higher participation of women in the labor market has a positive relationship with men’s suicides in the simultaneous year.
Research limitations/implications
Few limitations of this paper need to be stated. First, the data are not balanced, as data for some districts and years are missing. Also, it is possible to collect data only for a maximum period of 29 years (as the Slovak Republic exists only from year 1993). Moreover, important variables in suicide research, like alcohol consumption or drug use, are not collected on the district level. Therefore, poor data availability is putting barriers to research of this area in the Slovak Republic. Second, there is a lack of previous studies in the Slovak Republic. According to the authors’ knowledge, this is the first paper to deal with issue of suicides and socio-economic factors in the Slovak Republic; therefore, some important factors of the Slovak Republic influencing the results of this paper may be missed. Third, limitations in the methodological approach might influence the paper. The lagged-variables approach might require further methodological improvements and research like implementing a structural regression model.
Originality/value
According to knowledge of the authors, this relationship has not yet been examined in Slovakia. This provided space for this paper. According to the information presented in this paper, it is important to take individual economic and social circumstances into account when developing suicide prevention programs. The results of this paper may lead to useful guidelines for health policymakers, but addressing this issue certainly requires further research.
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This study aims to examine the effects of industrial production (IP), inflation and investment on suicide mortality in Turkey as a developing country over the 1988–2018 period.
Abstract
Purpose
This study aims to examine the effects of industrial production (IP), inflation and investment on suicide mortality in Turkey as a developing country over the 1988–2018 period.
Design/methodology/approach
Fourier cointegration test and dynamic ordinary least square regression were used in this study.
Findings
IP and investment have a statistically significant and negative impact on suicide mortality, whereas inflation has a statistically significant and positive effect on suicide mortality.
Research limitations/implications
The results of this study have important implications for policymakers and potentially the creation and implementation of suicide prevention policies. Not only do investment promotion, IP and disinflation policies in developing countries have a significant effect on economic growth but they also have a substantial impact on mental health.
Originality/value
Although previous studies have investigated the impact of economic growth and unemployment on suicide deaths in Turkey, no research has probed the effect of economic factors, except for unemployment and gross domestic product, on suicide. Thus, given the hidden unemployment and informal sector in developing economies, it is vital to examine the impact of IP, inflation and investment on mental health.
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Filicide, the killing of a child by a parent, is one of the only crimes committed by women and men in roughly equal numbers. Women's violence against their children, however, more…
Abstract
Filicide, the killing of a child by a parent, is one of the only crimes committed by women and men in roughly equal numbers. Women's violence against their children, however, more profoundly confounds common understandings of the links between gender and family violence, leading to its ambivalent treatment within the media. When men kill their children, they are usually characterised as either monsters or as sad, failed men. When women kill their children, they are usually represented as bad mothers or mad mothers suffering under the burdens of the pathological female body. In both cases, a mental illness/distress lens is common, though how it manifests is inflected by gender. This chapter examines recent Australian news representations of maternal filicide-suicide. Focussing on the mental illness/distress frame in news, it examines the ideological work this frame does in decontextualising and de-gendering maternal filicide, framing women's mental illness/distress in ‘psychocentric’ terms that strip it of political or social significance and subjecting it to an individualised lens that obscures the gendered aetiologies of women's use of violence.
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This essay aims to describe how the author began his career as a suicidologist and his style that made him so productive.
Abstract
Purpose
This essay aims to describe how the author began his career as a suicidologist and his style that made him so productive.
Design/methodology/approach
The author used autobiographical details to illustrate the elements of his career.
Findings
Childhood experiences include sleeping in air raid shelter from 1942 to 1945 in London (UK), while his style includes obsessiveness in reading everything on suicide, applying ideas from other fields (such as economics) to the study of suicide and obtaining academic freedom early in his career.
Originality/value
The essay offers guidelines for others who are in the early stages of a career as a researcher.
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